1. (a) Separate records for each individual shall be maintained by the residence administrator at the residence.

2. (b) Each individual's residential record shall include:

   1. (1) The names, addresses, and telephone numbers of persons to be notified in an emergency;
   2. (2) The individual’s current ISP;
   3. (3) The individual’s fire safety assessment and, if applicable, fire safety plan;
   4. (4) The individual’s personal safety assessment and, if applicable, personal safety plan; and

   5. (5) Medical information including:

      1. a. The names, addresses, and telephone numbers of the individual’s physician, dentist, therapist(s), and any other licensed practitioner(s);
      2. b. Medical orders;
      3. c. Medical history;
      4. d. A copy of the nurse-trainer assessment and approval for medication self-administration required by He-M 1202.05, if applicable;
      5. e. A copy of the annual health assessment of the individual pursuant to He-M 1002.06(a);
      6. f. Known allergies, if any;
      7. g. Other pertinent medical information;
      8. h. A medication log completed at the residence pursuant to He-M 1202.06 for all current medications; and
      9. i. A copy of the individual’s “Do Not Resuscitate” order, if applicable.
3. (c) The residence administrator or other providers shall complete attendance records and keep them on file at the community residence.
4. (d) Outdated information may be removed from the community residence record but shall be maintained in the individual's residential record and accessible by the CMHP for 7 years.

Source. #7762, eff 9-26-02; amd by #8210, eff 11-23-04; amd by #9795, INTERIM, eff 9-26-10, EXPIRES: 3-25-11; ss by #9894-A, eff 3-25-11; ss by #12742, INTERIM, eff 3-20-19, EXPIRED: 9-16-19 New. #12916, eff 11-16-19